WO2009081396A3 - Procédés et dispositifs de traitement d'un cœur - Google Patents

Procédés et dispositifs de traitement d'un cœur Download PDF

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Publication number
WO2009081396A3
WO2009081396A3 PCT/IL2008/001645 IL2008001645W WO2009081396A3 WO 2009081396 A3 WO2009081396 A3 WO 2009081396A3 IL 2008001645 W IL2008001645 W IL 2008001645W WO 2009081396 A3 WO2009081396 A3 WO 2009081396A3
Authority
WO
WIPO (PCT)
Prior art keywords
heart
treatment
methods
devices
anchor
Prior art date
Application number
PCT/IL2008/001645
Other languages
English (en)
Other versions
WO2009081396A2 (fr
Inventor
Amnon Zlotnick
Original Assignee
Mor Research Applic Ltd
Amnon Zlotnick
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Mor Research Applic Ltd, Amnon Zlotnick filed Critical Mor Research Applic Ltd
Priority to EP08864599A priority Critical patent/EP2231028A2/fr
Publication of WO2009081396A2 publication Critical patent/WO2009081396A2/fr
Publication of WO2009081396A3 publication Critical patent/WO2009081396A3/fr
Priority to US12/809,641 priority patent/US9131928B2/en
Priority to PCT/IL2009/001203 priority patent/WO2010070649A1/fr

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2442Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/2451Inserts in the coronary sinus for correcting the valve shape
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2478Passive devices for improving the function of the heart muscle, i.e. devices for reshaping the external surface of the heart, e.g. bags, strips or bands
    • A61F2/2487Devices within the heart chamber, e.g. splints
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • A61B2017/00243Type of minimally invasive operation cardiac
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0409Instruments for applying suture anchors
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0446Means for attaching and blocking the suture in the suture anchor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/048Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery for reducing heart wall tension, e.g. sutures with a pad on each extremity
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2442Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/2454Means for preventing inversion of the valve leaflets, e.g. chordae tendineae prostheses
    • A61F2/2457Chordae tendineae prostheses
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2442Annuloplasty rings or inserts for correcting the valve shape; Implants for improving the function of a native heart valve
    • A61F2/2466Delivery devices therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/24Heart valves ; Vascular valves, e.g. venous valves; Heart implants, e.g. passive devices for improving the function of the native valve or the heart muscle; Transmyocardial revascularisation [TMR] devices; Valves implantable in the body
    • A61F2/2478Passive devices for improving the function of the heart muscle, i.e. devices for reshaping the external surface of the heart, e.g. bags, strips or bands
    • A61F2/2481Devices outside the heart wall, e.g. bags, strips or bands

Landscapes

  • Health & Medical Sciences (AREA)
  • Cardiology (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Animal Behavior & Ethology (AREA)
  • Transplantation (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Vascular Medicine (AREA)
  • Surgery (AREA)
  • Rheumatology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

La présente invention concerne un appareil de traitement d'un cœur, qui comprend un tube de délivrance dimensionné et adapté pour être inséré dans un corps; une pointe affûtée adaptée pour être poussée à travers le muscle cardiaque; un élément de tension allongé; et au moins une ancre sur ledit élément de tension allongé, adaptée pour coupler ledit élément de tension allongé au tissu du muscle cardiaque, ledit tube de délivrance entourant un ou les deux desdits éléments et ladite au moins une ancre.
PCT/IL2008/001645 2007-12-20 2008-12-21 Procédés et dispositifs de traitement d'un cœur WO2009081396A2 (fr)

Priority Applications (3)

Application Number Priority Date Filing Date Title
EP08864599A EP2231028A2 (fr) 2007-12-20 2008-12-21 Procédés et dispositifs de traitement d'un c ur
US12/809,641 US9131928B2 (en) 2007-12-20 2009-12-21 Elongated body for deployment in a heart
PCT/IL2009/001203 WO2010070649A1 (fr) 2008-12-21 2009-12-21 Corps allongé pour son déploiement dans un sinus coronaire

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US1547107P 2007-12-20 2007-12-20
US61/015,471 2007-12-20
US7514308P 2008-06-24 2008-06-24
US61/075,143 2008-06-24

Related Child Applications (1)

Application Number Title Priority Date Filing Date
US12/809,641 Continuation-In-Part US9131928B2 (en) 2007-12-20 2009-12-21 Elongated body for deployment in a heart

Publications (2)

Publication Number Publication Date
WO2009081396A2 WO2009081396A2 (fr) 2009-07-02
WO2009081396A3 true WO2009081396A3 (fr) 2009-08-20

Family

ID=40512529

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/IL2008/001645 WO2009081396A2 (fr) 2007-12-20 2008-12-21 Procédés et dispositifs de traitement d'un cœur

Country Status (2)

Country Link
EP (1) EP2231028A2 (fr)
WO (1) WO2009081396A2 (fr)

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EP2134266A4 (fr) 2007-03-29 2015-06-03 Nobles Medical Technologies Inc Dispositifs et procédés de suturage pour fermer un foramen ovale patent
US9131928B2 (en) 2007-12-20 2015-09-15 Mor Research Applications Ltd. Elongated body for deployment in a heart
EP2291125B1 (fr) 2008-05-09 2021-04-21 Nobles Medical Technologies, Inc. Dispositifs de suture d'une valve anatomique
US20110190793A1 (en) * 2010-01-29 2011-08-04 Med-Venture Investments, Llc Methods and apparatuses for suturing of cardiac openings
CN110882021A (zh) 2011-04-15 2020-03-17 心脏缝合有限公司 用于缝合解剖学瓣的缝合装置和方法
WO2012170837A2 (fr) * 2011-06-08 2012-12-13 Nader Najafi Systèmes de capteurs sans fil implantables
WO2013003228A1 (fr) 2011-06-27 2013-01-03 University Of Maryland, Baltimore Dispositif de réparation par voie apicale de valvule mitrale
US10076414B2 (en) 2012-02-13 2018-09-18 Mitraspan, Inc. Method and apparatus for repairing a mitral valve
AU2013221670A1 (en) * 2012-02-13 2014-10-02 Mitraspan, Inc Method and apparatus for repairing a mitral valve
EP3597115A1 (fr) 2012-05-11 2020-01-22 Heartstitch, Inc. Dispositifs de suture d'une structure anatomique
US10828022B2 (en) 2013-07-02 2020-11-10 Med-Venture Investments, Llc Suturing devices and methods for suturing an anatomic structure
EP3079602B1 (fr) 2013-12-06 2020-01-22 Med-venture Investments, LLC Appareils de suture
US9681864B1 (en) 2014-01-03 2017-06-20 Harpoon Medical, Inc. Method and apparatus for transapical procedures on a mitral valve
US10178993B2 (en) 2014-07-11 2019-01-15 Cardio Medical Solutions, Inc. Device and method for assisting end-to-side anastomosis
EP3068311B1 (fr) 2014-12-02 2017-11-15 4Tech Inc. Ancrages de tissu excentrés
WO2016102561A1 (fr) 2014-12-22 2016-06-30 Synergio Ag Dispositif, système et procédé d'ancrage au tissu musculaire
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JP6798753B2 (ja) * 2015-10-21 2020-12-09 コアメディック アーゲーCoremedic Ag 心臓弁修復用の医療器具および方法
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US10624743B2 (en) 2016-04-22 2020-04-21 Edwards Lifesciences Corporation Beating-heart mitral valve chordae replacement
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EP3641660A1 (fr) 2017-06-19 2020-04-29 Heartstitch, Inc. Dispositifs de suture et procédés de suture d'une ouverture dans l'apex du c ur
EP4115818A3 (fr) 2017-06-19 2023-04-05 Heartstitch, Inc. Systèmes et procédés de suture destinés à suturer un tissu corporel
WO2018236843A2 (fr) 2017-06-19 2018-12-27 Harpoon Medical, Inc. Procédé et appareil pour interventions cardiaques
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US11219772B2 (en) 2017-10-25 2022-01-11 Mayo Foundation For Medical Education And Research Devices and Methods for cardiac pacing and resynchrontzation
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US11344413B2 (en) 2018-09-20 2022-05-31 Vdyne, Inc. Transcatheter deliverable prosthetic heart valves and methods of delivery
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US11273032B2 (en) 2019-01-26 2022-03-15 Vdyne, Inc. Collapsible inner flow control component for side-deliverable transcatheter heart valve prosthesis
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Also Published As

Publication number Publication date
WO2009081396A2 (fr) 2009-07-02
EP2231028A2 (fr) 2010-09-29

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